Swanson JW

[BACKGROUND] Primary rhinoplasty (PR) to correct the cleft nasal deformity at the time of unilateral cleft lip repair seeks to achieve durable improvement of nasal symmetry and projection. However, neither the components of primary cleft rh…

Definitive cleft rhinoplasty is performed at or near skeletal maturity to improve nasal breathing, symmetry, and shape, with surgeons performing a variety of techniques depending on patient goals. This study explores the relationship betwee…

The decision to undertake rhinoplasty maneuvers during cleft lip repair remains controversial. Little data compare long-term outcomes with and without primary rhinoplasty (PR). This study compared nasolabial outcomes in cohorts with unilate…

ObjectiveTo compare aesthetic outcomes in patients with bilateral cleft lip treated with concurrent primary rhinoplasty (PR) versus non-primary rhinoplasty (NPR), using layperson and anthropometric assessments.DesignRetrospective review of …

Many people living in low-income and middle-income countries (LMICs) lack access to safe surgical and anesthetic care. The Lancet Commission on Global Surgery (LCGS) recommended that all countries track surgical volume and target 5,000 proc…

ObjectiveRhinoplasty maneuvers at the time of cleft lip (CL) repair remain controversial. Particularly, the impact of primary rhinoplasty (PR) on patient-reported outcomes (PROs) and quality of life (QoL) is largely unknown. This study aims…

[BACKGROUND] The Bilateral Cleft Lip Severity Index (BCLSI) was developed to predict outcomes among patients who underwent bilateral cleft lip (CL) repair. However, its utility among cleft patients undergoing bilateral repair with primary r…

ObjectiveTo evaluate how patient-reported outcomes change from pre- to post-operation after common procedures in patients with cleft lip and/or palate (CL/P), as well as compared to patients who did not undergo surgery.DesignRetrospective c…

[BACKGROUND] The risk-to-benefit ratio of operating on the cleft nasal deformity in the period of mixed dentition remains debated. This study characterizes the authors' 18-year experience with intermediate cleft rhinoplasties to add data an…

ObjectiveTo examine the impact of primary rhinoplasty on subsequent rhinoplasties for patients with cleft lip nasal deformity.DesignRetrospective cohort study.SettingTertiary care pediatric hospital.Patients/ParticipantsIndividuals who unde…

[BACKGROUND] Intermediate cleft rhinoplasty (ICR) addresses nasal deformities in children with cleft lip and/or palate (CL/P), yet the influence of surgical planning and outcomes remains underdefined. This study evaluates decision-making an…

[BACKGROUND] The Center for Surgical Health (CSH) works to improve surgical access for under-resourced communities in Philadelphia via patient navigation services. This study defined the social profiles, clinical needs, and satisfaction of …

ObjectiveThis study aimed to (1) assess layperson preferences for how surgical information is presented; (2) evaluate how the format of visual information relates to layperson comfort with undergoing surgery, perceptions of surgeon characte…

[INTRODUCTION] Numerous leaks in the pipeline of minority entry and advancement in plastic and reconstructive surgery (PRS) exist. This study aims to (1) describe attitudes toward diversity among integrated PRS applicants, (2) characterize …

[BACKGROUND] Nasal airway obstruction is an increasingly recognized phenomenon in patients with cleft lip and/or palate and has the potential to significantly affect quality of life in this patient population. To date, the effect of seconda…

[BACKGROUND] Crowdsourcing uses online platforms to collect large data from laypersons and has been increasingly used over the past 5 years to answer questions about aesthetic and functional outcomes following plastic and reconstructive sur…

[BACKGROUND] The purpose of this study was to evaluate the epidemiology and perioperative complications of different reconstructive strategies to correct cleft nasal deformity, with particular attention paid to type and timing of cartilage …

[BACKGROUND] Linton A. Whitaker is a pioneer of craniofacial surgery. He served as chief of plastic surgery at the Children's Hospital of Philadelphia and University of Pennsylvania and director of the craniofacial training program. Herein,…

[BACKGROUND] Patients undergoing orthognathic skeletal correction present with a variety of comorbidities that may affect surgical outcomes. The purpose of this study was to determine how patient risk factors and operative technique contrib…

[BACKGROUND] Otoplasty remains an overlapping clinical domain of plastic surgery and otolaryngology. The purpose of this study is to objectively analyze the safety of otoplasty and determine if there are any risk factors, such as surgical t…

[OBJECTIVE] To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. [DESIGN] Retrospe…